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Federal Employees Health Benefits Program

2004 Premiums

FEHB Home | Non-Postal Premiums

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2004 FEHB Non-Postal Premium Rates for Connecticut

HMO Plans		2003 Total Biweekly Premium	2004 Biweekly premium rates				2003 Total Monthly Premium	2004 Monthly premium rates
Plan - Option - Enrollment Code		2003 Total Biweekly Premium	Total Premium	Gov't Pays	Empl. Pays	Change in employee payment	2003 Total Monthly Premium	Total Premium	Gov't Pays	Empl. Pays	Change in employee payment
Aetna HealthFund (Consumer Driven Plan)
High Self	221	New Plan	129.44	97.08	32.36	N/A	New Code	280.45	210.34	70.11	N/A
High Family	222	New Plan	297.73	223.30	74.43	N/A	New Code	645.08	483.81	161.27	N/A
ConnectiCare
High Self	TE1	134.67	152.36	114.27	38.09	4.42	291.79	330.11	247.58	82.53	9.58
High Family	TE2	352.67	399.02	277.09	121.93	18.88	764.12	864.54	600.36	264.18	40.90

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